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Organization
PROTECTED ROOTS INTEGRATIVE
Active
Organization
PROTECTED ROOTS INTEGRATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUYEU KUO PSYD (EXECUTIVE CLINICAL DIRECTOR)
(925) 269-7451
Entity
Organization
Contact information
Practice address
7817 HERSCHEL AVE UNIT 101-102, LA JOLLA, CA 92037-4454
(858) 295-1815
Mailing address
7817 HERSCHEL AVE UNIT 101-102, LA JOLLA, CA 92037-4454
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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